Respiratory Failure
This type of respiratory failure is characterized by low oxygen levels with normal or low carbon dioxide.
What is hypoxemic respiratory failure?
The patho of the pulmonary artery during ARDS.
What is stiffening
Setting that controls breaths per minute
What is frequency or rate?
This non-invasive device is beneficial for removing CO2 when the client needs ventilation support
What is bipap?
Triggers a low pressure alarm
What is a disconnect or extubation?
A common cause of hypercapnic respiratory failure due to impaired ventilation.
What is COPD?
The halmark finding on chest Xray in ARDS
What are bilateral infiltrates?
("white lung")
Ards clients are ventilated with this type of setting to prevent Barotrauma and volutrauma.
What are low tidal volumes.
(Reduces Mortality in ARDS)
Clients who are unable to protect their airway, provide adequate respiratory effort or ventilation, may require this.
What is invasive Mechanical Ventilation
The practice of tuning out alarm sounds due to possible overstimulation or multiple possible false alarms
.
What is alarm fatigue?
In respiratory failure, the arterial oxygen (PaO2) threshold that will define a hypoxemic etiology
What is PaO2 less than 60mmHg?
The most common presenting manifestation of ARDS.
What is progressively worsening dyspnea over 6-72 hours
Nurses should expect these levels of peep to meet the client oxygen requirement.
What is higher levels of PEEP?
(Peep is DEEP)
Spontaneous ventilator mode(s) means that the patient is doing what?
Breathing on their own = CPAP
This alarm generally means the client is breathing too fast.
What is High Vt or RR?
This diagnostic tool is essential for evaluating gas exchange in respiratory failure.
What is arterial blood gas (ABG) analysis?
The ratio to assess and diagnose the severity of ARDS (Hint: use ABG).
What is the PaO2/FiO2 less than 300 mmHg?
Mild ARDS is less than 300
Moderate ARDS is less than 200
Severe ARDS is less than 100
A complication of mechanical ventilation involving air leakage into the pleural space (often associated with increased PEEP)
What is Pneumothorax
This is used as final confirmation that ETT is in place
Chest XRAY
This is what is done with the patient and the mechanical ventilator if the client were to go into cardiac arrest.
What is the disconnect from the ventilator and connect to the Ambu bag?
One type of respiratory failure is more common than the other.
What is hypoxemic respiratory failure?
(Hypoxemic is more common than hypercapnic.)
This evidence-based care bundle will drive the care of the ARDS patient.
Assess Prevent and manage pain
Both SAT and SBT
Choice of Analgesia AND Sedation
Delirium: Assess, prevent, manage,
Early Mobility and Exercise
Family engagement and empowerment.
Nursing actions that will prevent ventilator-associated pneumonia (VAP)
What is:
Oral Hygiene
HOB > 30 degrees
SAT/SBT
Name the role of the nurse for the patient that is prescribed mechanical ventilation?
Hint: 10 short answers
Assist with intubation
Check ETT placement (End Tidal CO2 Detector)
Medication Administration
Assess Airway Patency
Identify Vent-associated Complications
Suction
Assess Lung sounds
Communication
Assess for weaning
Monitor Vital Signs
These are 4 causes of high pressure mechanical ventilation alarms?
Coughing
Asynchrony
Consensation
Kinked Tubing (or biting on tube)